Organization Active NPI

Adnan Mallick MD PA

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1891544425
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADNAN MALLICK MD PA
Practice address
18802 University Blvd Ste 117
Sugar Land, TX 77479-6849
Phone
(281) 201-6282
Fax
(832) 699-3377
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adnan M Mallick, MDNPI 1053751362
Title
President/Physician
Phone
(305) 793-6276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU

Addresses

Primary practice location

18802 University Blvd Ste 117
Sugar Land, TX 77479-6849

Mailing address

8607 Prairie Manor Dr
Richmond, TX 77406-1995

National Provider Directory

National Provider Directory

Locations

18802 University Blvd
Ste 117
Sugar Land, TX 77479
Phone (281) 201-6282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1891544425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 PRAIRIE MANOR DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 UNIVERSITY BLVD STE 117",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796849",
            "telephone_number": "281-201-6282",
            "fax_number": "832-699-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADNAN MALLICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MALLICK",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "305-793-6276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.